OIG sides with Physician Fee Schedule on the controversial imaging reimbursement question. In the OIG’s 2010 Work Plan, concern over payments for imaging services shows up several times, and physician practices should prepare for increased scrutiny payments…
Continue reading...Sunday, October 11, 2009
OIG will target ED imaging services, modifier GY claims, POS errors, e-prescribe and more in 2010. The OIG has released its 2010 Work Plan — which includes plans for reviewing everything from the appropriateness of the GY modifier to your e-prescribing…
Continue reading...Monday, September 14, 2009
If your gut reaction to this headline is to say NO WAY, the American Gastroenterological Association may have you eating your words. I didn’t believe they could do it myself, at first, but I’m pretty impressed by this up-to-date, plain…
Continue reading...Wednesday, July 29, 2009
Modifier misuse, POS coding errors might be partly responsible for one physician’s legal troubles. A New Jersey practice allegedly overbilled Medicare by almost $5 million by fraudulently reporting lymphedema procedures to its carrier. Although the practice billed for surgery that…
Continue reading...Monday, July 20, 2009
Physician coders, billers & compliance officers: If you feel like place of service errors are insignificant, you should know that the OIG feels otherwise. You may be aware of the fact that your physician earns higher reimbursement when he performs a service in his office…
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Monday, October 19, 2009
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